Infant Journal
for neonatal and paediatric healthcare professionals

Maintaining quality of care through a pandemic and setting goals for future improvement

The National Neonatal Audit Programme (NNAP) was established in 2006 and continues to play an important role in driving and supporting improvements in neonatal care. The past two years have been a period of change for the NNAP, bringing a new data flow methodology, exciting opportunities to further develop the NNAP, and a new contract for the Royal College of Paediatrics and Child Health (RCPCH) to deliver the audit until 2025.

Sam Oddie
NNAP Clinical Lead, Consultant
Neonatologist, Bradford Teaching Hospitals

Rachel Winch
NNAP Manager, Royal College of Paediatrics
and Child Health

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breastfeeding; coronavirus; human breast milk; preterm; quality improvement
Key points
  1. Quality improvement practices can increase the dose of OMM use in neonatal care units.
  2. Motivated and trained staff and increased availability of hospital-grade electric breast pumps can increase early, frequent and effective breast milk expression practices in the NICU.
  3. Measures aimed at reducing COVID-19 transmission had an unintended negative impact on OMM use in the NICU.

Also published in Infant:

Breastfeeding very low birthweight infants in Brazil: a successful experience
Breastfeeding has multiple benefits for all infants, including very low birthweight infants. Mothers face many difficulties when initiating and maintaining milk production throughout hospitalisation yet our experiences show that it is possible to maintain milk production, even over long stays, and that most preterm babies can be breastfed at discharge.